Kopperud, Tayler Suzanne

Kopperud, Tayler Suzanne is an sole proprietor health care provider with primary practice located at 4959 Palo Verde St Ste 208C-4 , Montclair CA 91763-2360. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Specialist. Technologists, Technicians & Other Technical Service Providers / Sonography is her primary health care specialty. Kopperud, Tayler Suzanne can be contacted via phone (909) 675-7362.

Contact Information

Primary practice address
4959 Palo Verde St Ste 208C-4 Montclair CA 91763-2360
Phone: (909) 675-7362
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X 00868169 California
Technologists, Technicians & Other Technical Service Providers / Vascular Specialist 246XC2903X 00868169 California

Profile Details

NPI number 1548811037
LBN Legal business name Kopperud, Tayler Suzanne
Credentials RCS, RVS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2019
Last updated May 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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